Kasufkin, Richard A

Kasufkin, Richard A is an individual health care provider with primary practice located at 7230 W North Ave Ste 106B Resurrection Immediate Care Center, Elmwood Park IL 60707-4262. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kasufkin, Richard A can be contacted via phone (708) 453-3000.

Contact Information

Primary practice address
7230 W North Ave Ste 106B Resurrection Immediate Care Center Elmwood Park IL 60707-4262
Fax: (708) 453-4660
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036103195 Illinois

Profile Details

NPI number 1225068240
LBN Legal business name Kasufkin, Richard A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Jun 10th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225068240 NPPES
Illinois MEDICAID 3633309286030501
Illinois MEDICAID 036103195
Illinois Other 1619414

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